On Broadway Dentistry
On Broadway Dentistry is a General Practice Dentistry in Mesa, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
4435 E Broadway Rd # 9Mesa, AZ 85206-2012
Phone: (480) 223-0255
Fax: (480) 654-0705
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1851857064 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bennett Mankin — Ceo · (480) 636-0170 |
| NPI enumerated | February 12, 2019 |
| Last updated in NPPES | February 7, 2020 |
| Certification date | February 7, 2020 |
| Mailing address | 3658 E Morrison Ranch Pkwy, Gilbert, AZ 85296-1816 |
Other providers in Mesa
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Dr. Ali H Nia, DMD
1930 S Dobson Rd Ste 1, Mesa, AZ 85202-5657 · (480) 730-0500
-
Ryan Nia, DMD
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Dr. Eric Reid Nielson, DMD
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-
Nordent LLC
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Dr. Andrew M. Owe, DDS
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-
Kyle Palmer, DMD
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Dr. Rodney James Palmer, DDS
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Dr. Joe J Panelli, DMD
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